MARK S HOLDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

HOLDER

Suffix

Business Name

MARK S HOLDER MD

Original Issue Date

03/12/1986

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

PRINCEVILLE

State

Zip

61559

County

STARK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017